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��."�; ° N WASHINGTON C O,
3_ WATER & SEWER DEP N
16232 Elliott Parkway
Williamsport, MD 21795 JUN 1 1 2001
�RY`nN (301) 791-3083
Permit to Connect to Public Water/Sewer System PEW • `- , A
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Type of Permit RES SEWER Permit No. SCP 150-1538.___..._,
Subdistrict Name MAUGANS OH Issue Date 06/06/01
Mainline Contract No. Void Date -'6-6-7 0 6 0 2
Building Permit No. P2001-1097 Subdistrict No. 150
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD CIRCLE
HAGESTOWN MD 21740
For property located at: 18774 D I L LER DRIVE Street Address
Lot No. 42 Subdiv. FOUNTAINVIEW Phase $ec. TH
Owner's Agent: DAVID SHAOOL
Agent's Address: 11029 PLUMWOOD CIRCLE HAGERSTOWN MD 21740
Previous Owner:
Fees Paid in Full? YES Lateral with Mainline? YES
Date Fees Paid Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ Gal/Day Allocation
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ 491, 20OMisc. Number
Total Fee $
Remarks A FEE D I FFERNT I AL WILL CHARGED
INCREASE IF PROPERTY IS NOT CONNECTED BY THE PERMIT VOID DATE.
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system shall
conform with the provisions of Maryland State laws and County policy.
This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS,
STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER ANn Al I RFSPnNCIRII IN rnK1K1r-f'Tcn Tur-OCIAl ru
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
100 W. Washington Street, Room 304
Hagerstown, MD 21740-4727
/
Phone: (301) 791-3070
Inspection Date: 110 - 7 01 Plumbing Inspector:
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PROJECT NAME: rO-anl�ll ,Iet� _ PROJECT NO: C7- 6I
PROPERTY ADDRESS:. ' 'fZ �13�8�� l�7�6 D IIe+� rte- DRAWING NO: I o
MAIN LOCATION: STREETSf 29
DATE INSTALLED: l0 -fl- v /
PROPERTY OWNER NAME: MH /�4
—_ TO MH G' . a
PROPERTY OWNER ADDRESS: MAIN STATION: I -f- qg L
CONTRACTOR: —
SIZE & TYPE
TEE/AYE;
c
SIZE & TYPE
DOUBLE TEE/WYE
r ,rte a-
S�� -L6
SIZE & TYPE
SERVICE PIPE
- 2.6
CONNECTION ® MH:
INVERT ® DEPTH
MAIN C/0 A
6q?,gI -7
(LT)IC (L
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(RT C (R
- Mrvv UIMLNSIUN ALL PERTINENT ITEMS
FLOW
DOWNSTREAM
MH # l',3C3
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASNINGrON COUNTY, MARYLANO
a -
A' WA TER AND SEWER
DEPARTMENT
LEFT
RIGHT UPSTREAM
MH # c.c .
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 1 S -13.2A